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New York, NY (September, 25, 2001) -- The Victorians wore bustles. Then
Frederick's of Hollywood gave us padded girdles. Now, fit women from
Brazil to Brooklyn flaunt their curves in thongs and spandex. In the quest
for the fuller "gluteal aesthetic unit," women today are turning to
cosmetic surgery.
According to a report published in the July/August issue of Aesthetic
Surgery Journal, a publication of the American Society for Aesthetic
Plastic Surgery (ASAPS), there has been a paucity of treatments for the
woman troubled by flat buttocks. Although solid and semi-solid buttock
implants have been recently approved by the U.S. Food and Drug
Administration and may be a good option for some patients, these implants
pose a number of disadvantages including significant scarring and the
possibility that the implants will shift. But now, say the study's
authors, a rounder, fuller buttocks can be achieved using the safe,
effective micro fat grafting technique. The report, written by Thomas L.
Roberts III, MD, Luiz S. Toledo, MD, and Ana Zulmira Badin, MD, is based
on the authors' experiences with 566 cases of buttocks augmentation using
this technique. It further notes that approximately 50% to 75% of the fat
grafted remains long term, resulting in high levels of patient and
physician satisfaction.
To achieve the desired effect, surgeons infiltrated the buttocks area with
a tumescent solution. Fat was then harvested from a donor site either
manually with a syringe or with a liposuction pump that allowed precise
control of the vacuum. Two crisscrossing entry points only about 1/10 of
an inch in diameter were used on each buttock to ensure even distribution
and the fat was injected into the desired area.
The typical augmentation averaged 300cc to 400cc per side, but ranged from
175cc to about 800cc depending on the patient's desires and the amount of
donor fat available. A compression garment was then worn for approximately
6 weeks, as in traditional lipoplasty (liposuction) procedures. Depending
on the extent and areas of fat harvesting, patients were able to resume
most normal activities in 2 to 5 days, though some mild discomfort may
persist for 1 to 2 weeks postoperatively. Surgeons found that
complications from buttock micro fat grafting augmentation procedures were
minimal and easily remedied. In fact, the report further states that
approximately 10% of the patients requested further augmentation.
The report concluded that buttock augmentation by micro fat grafting is a
safe, simple aesthetic technique which, combined with careful
liposculpting, can enhance the feminine appearance.
Source: American Society of Aesthetic Plastic Surgery
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